Unknown Individual – Family Medicine Physician, NPI 1265418503

Unknown Individual is a healthcare provider. based in Thomasville, Georgia. specializing in Family Medicine Physician. They hold a License No. 013213 (GA). The NPI Number for Unknown Individual is 1265418503

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265418503
Phone
(229) 227-2990
Address
400 S PINETREE BLVD
Deactivation Date
20 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 400, South Pinetree Boulevard, Metcalfe Historic District, Thomasville, Thomas County, Georgia, 31792, United States

    POB 1378

    THOMASVILLE, GA 317991378

    Phone: (229) 227-2990

    Fax: (229) 227-4052

    Type: Mailing

  • North Pinetree Boulevard, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317927128

    Phone: (229) 227-2990

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31799)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1265418503 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Thomasville, Georgia for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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